| NPI | 1497185912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 738209) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 005200) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2018-03-17 |